57 cases of infant care with the experience of cardiac surgery.docVIP

 PAGE \* MERGEFORMAT 9 57 cases of infant care with the experience of cardiac surgery [Keywords:] infants and young children, open heart, Nursing The incidence of congenital heart disease, the birth rate of about 0.8% [1], open heart surgery with the extensive development, the implementation of infant surgery for congenital heart disease is the development trend. Our hospital since 2004 April to October 2007 in 57 cases of infants with congenital heart disease, implementation of the operation. now with the surgical care are summarized below. Clinical data The group of 57 patients, 41 males and 16 females, aged 11 days to 3 years old, weighing 3 ~ 11 kg. Of which 28 cases of ventricular septal defect, atrial septal defect in 8 cases, 6 cases of patent ductus arteriosus, TOF Fallot in 9 cases, 3 cases of endocardial cushion defect, transposition of great arteries in 1 case, single atrium single ventricle in 2 cases. with deep hypothermic circulatory arrest in 8 cases. 1.5 ~ 4.5 hours operation time, bypass time of 20 to 180 minutes. surgery were successfully completed with the care, nursing care did not occur with the surgery-related complications. Care and to meet 1. Preoperative preparation (1 preoperative interview: Tour the day before surgery ward nurses to read medical records, visiting children and their families to understand the physical development of children, such as general condition, peripheral vascular, and skin conditions of the inspection. Through body language such as caressing , cuddle, funny, and children and other contacts, to reduce their fear of nurses. patiently answered the concerns of the parents to alleviate their concerns about the surgery, and to their families to ensure that the importance of fasting preoperative fasting. (2 devices and materials preparation: infant immature myocardium, surgical small field of view, the use of surgical instruments and materials should be their match. Preoperative patients acc